Which theme is most likely during family therapy with parents, siblings, and a teen patient with anorexia nervosa who engages in provocative behavior?
a. Stable coalitions between family members
b. Interpreting negative messages as positive
c. Competition between the patient and father
d. Lack of trust in the patient by family members
D
The theme of lack of trust in the patient by the family is frequently noted when the patient does provocative things such as going to the bathroom and remaining there after meals. The patient is unable to fathom the concern of the family about possible purging behaviors. The patient frequently shifts coalitions. The patient perceives positive messages as negative. The patient usually competes with the mother.
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